without warning, he is infected with this cruel infection that saw him scream his lungs out with PAIN. he was in so much pain that left me almost crazy for not knowing what to do. up until now i can still hear him screaming with agonizing pain in my ear “tolooong ummi…sakitt ummi..tolong hadif ummi..” this is the 2nd most terrible thing that happen in my life since his birth. this was totally different from the time he was diagnosed with renal failure. totally different! at that time he was still a baby and i think he did not experience any pain, only maybe discomfort with the treatment that he had to endured.
at 2 yrs 1 mth, he can definitely express himself and when pain struck him, he definitely let me know how he felt. i was totally powerless, helpless and dumbstruck – just don’t know what to do. it happen just overnight (sunday night) and got worst (spread to all over his body) on monday night. worsen with the fact that he has renal problem, i almost lost my mind.
This is how it infected hadif:
here’s what he’s having: Staphylococcal scalded skin syndrome
What is staphylococcal scalded skin syndrome?
Staphylococcal scalded skin syndrome (SSSS) is an illness characterised by red blistering skin that looks like a burn or scald, hence its name staphylococcal scalded skin syndrome. SSSS is caused by the release of two exotoxins (epidermolytic toxins A and B) from toxigenic strains of the bacteria Staphylococcus aureus. Desmosomes are the part of the skin cell responsible for adhering to the adjacent skin cell. The toxins bind to a molecule within the desmosome called Desmoglein 1 and break it up so the skin cells become unstuck.
SSSS has also been called Ritter’s disease or Lyell’s disease when it appears in newborns or young infants.
Who is at risk of staphylococcal scalded skin syndrome?
SSSS occurs mostly in children younger than 5 years, particularly neonates (newborn babies). Lifelong protective antibodies against staphylococcal exotoxins are usually acquired during childhood which makes SSSS much less common in older children and adults. Lack of specific immunity to the toxins and an immature renal clearance system (toxins are primarily cleared from the body through the kidneys) make neonates the most at risk.
Immunocompromised individuals and individuals with renal failure, regardless of age, may also be at risk of SSSS.
What are the signs and symptoms of staphylococcal scalded skin syndrome?
SSSS usually starts with fever, irritability and widespread redness of the skin. Within 24-48 hours fluid-filled blisters form. These rupture easily, leaving an area that looks like a burn.
Characteristics of the rash include:
- Tissue paper-like wrinkling of the skin is followed by the appearance of large fluid-filled blisters (bullae) in the armpits, groin and body orifices such as the nose and ears.
- Rash spreads to other parts of the body including the arms, legs and trunk. In newborns, lesions are often found in the diaper area or around the umbilical cord.
- Top layer of skin begins peeling off in sheets, leaving exposed a moist, red and tender area.
Other symptoms may include tender and painful areas around the infection site, weakness, and dehydration.